Hyponatremia and lower normal serum sodium levels are associated with an increased risk of all‐cause death in heart failure patients

Author:

Zhao Lang1ORCID,Zhao Xuemei1,Zhuang Xiaofeng1,Zhai Mei1,Wang Yunhong1,Huang Yan1,Zhou Qiong1,Tian Pengchao1,Liang Lin1ORCID,Huang Boping1ORCID,Huang Liyan1ORCID,Feng Jiayu1,Zhang Yuhui1,Zhang Jian1

Affiliation:

1. State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC) Beijing China

Abstract

AbstractAimTo explore the relationship between the serum sodium level on admission and all‐cause mortality in HF patients.DesignA single‐center retrospective cohort study.MethodsPatients hospitalized with HF at the Heart Failure Center, Fuwai Hospital, from November 2008 to November 2018 were enrolled.ResultsA total of 3649 patients were included, and the mean sodium level was 137.19 ± 4.36 mmol/L, with a range from 115.6 to 160.9 mmol/L. During a median follow‐up of 1101 days, mortality occurred in 1413 (38.7%) hospital survivors. After adjustment for age, sex, and other potential confounders, patients with sodium levels <135 mmol/L (hazard ratio [HR]: 1.67; 95% confidence interval [CI]: 1.29–2.16) and 135–137 mmol/L (HR: 1.34; 95% CI: 1.01–1.78) had an increased risk of all‐cause mortality compared to those with sodium levels of 139–141 mmol/L.

Publisher

Wiley

Subject

General Nursing

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